FELICIA LAVERN GORE (NPI# 1578052098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578052098 |
Entity Type | Individual |
Full Name | FELICIA LAVERN GORE |
Practice Address |
330 Treeacres Circle Nw Calabash NC 28467 |
Mailing Address |
Po Box 6702 Ocean Isle Beach NC 28469 |
Practice Telephone | 8035269873 |
Mailing Telephone | 8035269873 |
Enumeration Date | 2018-05-10 |
Last Update Date | 2018-05-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | NC | Nursing Service Related Providers | |
N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
NC | Nursing Service Related Providers | |
N | 376K00000X | Nurse's Aide | NC | Nursing Service Related Providers |
Address | Telephone Number | Fax Number |
---|---|---|
330 Treeacres Circle Nw, Calabash, NC 28467 | 8035269873 |
Street Address |
330 TREEACRES CIRCLE NW |
City | CALABASH |
State | NC |
Zip Code | 28467 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063914000 | Connor David Price | Occupational Therapist | 9600 Number 5 School Road Northwest, Calabash, NC 28467 | 2018-03-06 |
1508115569 | Edward Ragland Thomas Iv | Pharmacist | 10227 Beach Drive Sw, Calabash, NC 28467 | 2012-09-06 |
1194941286 | Calabash Family Pharmacy Inc | Pharmacy | 10080 Beach Drive Sw, Calabash, NC 28467 | 2007-04-17 |
1639210529 | Forever Yours, Inc | Durable Medical Equipment & Medical Supplies | 262 Koolabrew Drive, Calabash, NC 28467 | 2007-02-12 |
1629123807 | Thomas Drugs Inc | Durable Medical Equipment & Medical Supplies | 10227 Beach Drive, Calabash, NC 28467 | 2007-01-25 |
1417027046 | Pamela C Neves | Counselor | Old Georgetown Centre Hwy 179, Suite 9, Calabash, NC 28467 | 2006-11-09 |
1164533493 | David Philip Deeb | Dentist | 10271 Beach Dr Sw, Calabash, NC 28467 | 2006-08-31 |
1144331471 | Deeb & Fanning Dds Pa | Dentist | 10271 Beach Drive Sw, Calabash, NC 28467 | 2006-08-31 |
1588770002 | Ted Hadley Sanders | Dentist | 9220-1 Beach Dr Sw, Calabash, NC 28467 | 2006-08-21 |
1104853845 | De Lora Cummings | Family Medicine | 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467 | 2006-06-27 |
Find all providers in zip 28467 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
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1124634399 | Amber House Staffing, LLC | Adult Companion | 611 Summit Ave Ste 4, Greensboro, NC 27405-7746 | 2020-09-22 |
1528671997 | Antoinette L Williams | Adult Companion | 1727 Pepperwood Way, Leland, NC 28451-9393 | 2020-08-26 |
1851937148 | Stevens House of Hope, Inc | Adult Companion | 1002 W Waddell St, Selma, NC 27576-2028 | 2019-11-21 |
1831731488 | Emma Rose Van Gilder | Adult Companion | 223 Payne Branch Rd, Blowing Rock, NC 28605-9021 | 2019-10-15 |
1902363286 | Tbh Home Healthcare | Adult Companion | 4 Briar Cir Apt D, Fayetteville, NC 28306-4940 | 2019-02-22 |
1407326010 | Home Rule LLC | Adult Companion | 25 1st Ave Ne Ste 103, Hickory, NC 28601-6220 | 2018-11-27 |
1811464522 | Larry Moore | Adult Companion | 620 N Church St Apt 1603, Charlotte, NC 28202-3299 | 2018-10-31 |
1013490382 | Brianna Terial Amaechi | Adult Companion | 5301 Jade Forest Trl, Raleigh, NC 27616-5148 | 2018-09-12 |
1326550377 | Darlene Denise Seabrooks | Adult Companion | 3807 Woodbriar Trl, Charlotte, NC 28205-4967 | 2017-10-31 |
1184165987 | Bridgette Boyd | Adult Companion | 106 Eaton Ferry Rd, Macon, NC 27551-9099 | 2017-03-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.